Individual ProviderClaude-Michael Edmund Chiemeka EzieStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(212) 305-2500PECOS EnrollmentBased on the most recent information from CMS, provider Claude-Michael Edmund Chiemeka Ezie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1376120618Provider TypeIndividualFull NameEzie, Claude-Michael Edmund ChiemekaTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/24/2021Last Updated3/28/2021Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(212) 305-2500FaxUnlisted FaxMailing LocationMailing Address334 E 26th St Apt 12g-2, New York, NY 10010-1915PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer